Individual
LY THI TONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5601 DE SOTO AVE, WOODLAND HILLS, CA 91367-6701
(818) 719-3770
(818) 719-2201
Mailing address
5601 DE SOTO AVE, DEPARTMENT OF OPHTHALMOLOGY, 2ND FLOOR, WOODLAND HILLS, CA 91367-6701
(818) 719-3770
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A85786
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A857860
—
CA
Enumeration date
07/17/2006
Last updated
12/15/2021
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